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BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC NPI 1699906875


NPI Information

NPI: 1699906875
Provider Name: BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC

Doing Business As: PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
5875 BREMO RD STE 104
MOB SOUTH
RICHMOND, VA
ZIP 23226
Phone: (804) 287-7770
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BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC is a pediatric pulmonology pediatrics in Richmond, VA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC NPI is 1699906875. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Lung Care - Bon Secours Medical Group.

The provider's business location address is:

5875 BREMO RD STE 104
MOB SOUTH
RICHMOND, VA
ZIP 23226-934
Phone: (804) 287-7770
Fax: (804) 287-7801

The provider's authorized official is Wilbur Gay .
The authorized official title is Cfo and has the following contact phone number (864) 561-7672.

The enumeration date for this NPI number is 8/5/2009 and was last updated on 9/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0214XPediatricsPediatric PulmonologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C06778OTHERVIRGINIAGROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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